Introduction: When it comes to the closure of defects following excision of STS of calf where primary closure might not be an option. Delayed closure, as well as grafting of a wound are well documented options and should be attempted in both the simple wound, those where early recovery is required. Local rotation advancement flaps give better postoperative recovery rates where more complex reconstructive failure would be disastrous. These perforator based local flap have been observed to have better recovery outcomes and makes the patient able to finish adjuvant treatment timely in such cases
Pre-requisites: Both of these options require an adequate blood supply to the wound area and relatively reliable surrounding tissue. Where the blood supply is poor, or where there is a requirement of soft tissue depth, the use of reconstructive flaps is generally required. This technique is limited by the reliability of the surrounding tissue, but may offer a potential donor site for both direct closure and local flap coverage.
Choice of Reconstruction
Conclusion: The salvage of the limb is preferred over amputation. Soft tissue coverage must be wound and area specific, involving the patient and a multidisciplinary approach.